26. careCycle

Company: careCycle

CEO and Co-Founder: Alex Doonanco

Website: https://www.carecycle.ai/

 

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About careCycle

 

careCycle is a medtech startup founded in 2024 to confront a critical challenge in Medicare: member churn. Each year nearly half of Medicare Advantage members switch or drop plans, often due to confusion or lack of support. careCycle provides agencies with always‑on voice AI agents that guide seniors through lead validation, enrolment appointments, plan details and renewal outreach.

The idea emerged when founder Alex Doonanco, previously part of AI Rudder’s go‑to‑market team, noticed that generic AI systems failed to meet the strict compliance and personalisation needs of Medicare. Together with Evan Roubekas, he launched careCycle to deliver a purpose-built solution with onshore, secure voice AI for regulated environments.

careCycle’s system operates as a multi‑agent voice team. It handles inbound calls at all hours, pre‑qualifies leads, schedules callbacks and transfers prospects to licensed agents. The same team also makes personalised post‑enrolment calls, explains benefit summaries, reminds members about steps they need to take and flags tricky questions for human staff. This design pairs efficiency with empathy.

Early results from Q4 2024 and early 2025 are compelling: agencies saw cost per acquisition drop by around 40 percent, plan effectuation rise by 37 percent, a five‑fold bump in after‑hours conversions and more than $2 million in renewal revenue during AEP. Member interactions exceeded 400 000 conversations by mid‑2025.

careCycle integrates with existing CRM and call centre systems, and pricing is positioned for agencies of all sizes. The platform fully complies with HIPAA and CMS rules, with all operations secured and onshore.

Since launching, the company has grown from two founders to a Y Combinator‑backed startup with a growing team in San Francisco and San Mateo. careCycle is on track to redefine member engagement by placing priority on clear communication, regulatory integrity and continuous care.

 

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